Rafaela de Melo Silva1, Mário Eduardo Santos Rodrigues2, Guilherme Morais Puga3, Valdeci Carlos Dionisio4, Vanessa Santos Pereira Baldon4, Ana Paula Magalhães Resende4. 1. Physical Therapy Department, Federal University of Uberlândia, Street Benjamin Constant, 1286, Uberlândia, MG, 38400-678, Brazil. fisiorafaelamelo@gmail.com. 2. Laboratory of Human Movement, Federal University of Uberlândia, Uberlândia, MG, Brazil. 3. Physical Education Department, Federal University of Uberlândia, Uberlândia, MG, Brazil. 4. Physical Therapy Department, Federal University of Uberlândia, Street Benjamin Constant, 1286, Uberlândia, MG, 38400-678, Brazil.
Abstract
INTRODUCTION AND HYPOTHESIS: To date, no study has investigated the correlation between pelvic floor muscle function and urinary incontinence in female runners. The aim of the study was to investigate the relationship between pelvic floor muscle function and to correlate urinary leakage as measured by the modified pad test with kinematic variables of running. METHODS: The sample consisted of 11 incontinent and 17 continent runners. On day 1, they performed a maximum velocity test on a treadmill using an incremental protocol. Their pelvic floor muscles were evaluated using vaginal palpation and manometry, and the adapted pad test was used to evaluate the severity of urinary incontinence. Then, running kinematics were evaluated on a treadmill using a circuit camera to capture vertical displacement, knee flexion during the load response phase, and the initial contact of the foot with the ground for subsequent analysis. The pad test was performed during the kinematic evaluation. RESULTS: The vaginal squeeze pressure of the continent group (mean = 43.40 mmHg, SD = 21.75) was higher in descriptive terms than that of the incontinent group (mean = 38.94 mmHg, SD = 31.08), but the difference was not statistically significant (p = 0.66). There was an association between the weekly training load and urinary leakage. No associations were found between pelvic floor muscle function or urinary leakage and the kinematic variables. CONCLUSIONS: Despite the correlation between the weekly training load and the severity of urinary leakage, no relationships were found between pelvic floor muscle functioning and the kinematics of running.
INTRODUCTION AND HYPOTHESIS: To date, no study has investigated the correlation between pelvic floor muscle function and urinary incontinence in female runners. The aim of the study was to investigate the relationship between pelvic floor muscle function and to correlate urinary leakage as measured by the modified pad test with kinematic variables of running. METHODS: The sample consisted of 11 incontinent and 17 continent runners. On day 1, they performed a maximum velocity test on a treadmill using an incremental protocol. Their pelvic floor muscles were evaluated using vaginal palpation and manometry, and the adapted pad test was used to evaluate the severity of urinary incontinence. Then, running kinematics were evaluated on a treadmill using a circuit camera to capture vertical displacement, knee flexion during the load response phase, and the initial contact of the foot with the ground for subsequent analysis. The pad test was performed during the kinematic evaluation. RESULTS: The vaginal squeeze pressure of the continent group (mean = 43.40 mmHg, SD = 21.75) was higher in descriptive terms than that of the incontinent group (mean = 38.94 mmHg, SD = 31.08), but the difference was not statistically significant (p = 0.66). There was an association between the weekly training load and urinary leakage. No associations were found between pelvic floor muscle function or urinary leakage and the kinematic variables. CONCLUSIONS: Despite the correlation between the weekly training load and the severity of urinary leakage, no relationships were found between pelvic floor muscle functioning and the kinematics of running.
Authors: José Tadeu Nunes Tamanini; Miriam Dambros; Carlos Arturo Levi D'Ancona; Paulo César Rodrigues Palma; Nelson Rodrigues Netto Journal: Rev Saude Publica Date: 2004-07-08 Impact factor: 2.106
Authors: Thuane Da Roza; Maíta Poli de Araujo; Rui Viana; Sara Viana; Renato Natal Jorge; Kari Bø; Teresa Mascarenhas Journal: Int Urogynecol J Date: 2012-05-03 Impact factor: 2.894